Upstate New York October 2019 NWTA

This field will show $0.00 because you do not pay until you are accepted to either the Staff or MOS.

Staff Fee
*

Staff Fee - $ 0.00

Total Fee(s)

Credit Card Information

Card Type

Card Number*

Security Code*

Expiration Date*

My billing address is the same as above

Billing Name and Address

Billing First Name*

Billing Middle Name

Billing Last Name*

Street Address*

City*

Country*

State/Province*

Postal Code*

Staff Application - Readiness

Please note the following before applying to Staff or MOS:
1. No man may staff or MOS on consecutive NWTA weekends without express permission of their Leader Body Global Director.
2. It is required that every NWTA staff man complete ST1 Training prior to their fourth staffing.
3. If accepted to staff, every NWTA staff man and MOS must complete a new Confidential Medical Record OR the NWTA Readiness Form within 6 months of the NWTA date (form to be determined by MKP USA) and sign the applicable release form prepared by MKP USA.
4. Sexual behavior with self or others is not allowed on MKP training events.
5. There are men on staff who by the nature of their professional capacity, are required by law to report suspected abuse or neglect. Appropriate action will be taken when abuse is reported or suspected.

Completed ST1?

Completion of ST1 is required before your 4th staffing. If your record says 'No' here and you have already attended BSDT or ST1 then open a support ticket by emailing help@mkp.org with the month year and location of your ST1 training.

Animal Name

Current Center

Choose your community from the following list. If you are not part of a community, select None. If you do not see your community, select Not Yet Assigned.

Current Community

# of Staffings

# of MOS

Are you applying for Staff, MOS, or either?

1) Staff/MOS

Do you have current CPR certification? If so please enter Expiration Date here

2) CPR

Are you sponsoring someone for the weekemd?

3) Sponsor A Man

YesNo

If yes, list names, relationships, and other pertinent info.

4) Sponsor Who

Are you attending an I-Group?

5) In IGroup

YesNo

What is your I-Group facilitation experience?

6) Facilitation

Are you a Medic?

7) Medic

YesNo

Are you a Blessed PRC Ceremony Leader?

8) LKS

YesNo

Are you a Ritual Elder?

9) Ritual Elder

YesNo

Role Requests - Coordinator

Role Requests - Friday

Role Requests - Saturday

Role Requests - Sunday

What is your intention for the weekend?

How are you living your mission?

What Gold are you bringing to the weekend?

How are you serving the community?

Online Paperwork Help
*

YesNo

I may need assistance filling out online paperwork and agree to allow a helper to assist me